Chronic Stressors and Alcohol and Drug Abuse in Middle-aged Adults: White/BlackDifferences

中年成年人的慢性压力源以及酒精和药物滥用:白人/黑人的差异

基本信息

项目摘要

Abstract This national study addresses the most salient psychosocial causes of the reversal in the decline in midlife mortality for U.S. white non-Hispanics of lower educational attainment since 1998, largely due to death rates from drug and alcohol poisoning and suicide. The specific aims are to 1. Empirically demonstrate the associations between individual chronic stressors and community-level stressors, alcohol and drug abuse, and health outcomes over time among middle-aged whites compared to non-Hispanic blacks linked with educational attainment and 2. Model the salient mediators and moderators of the relationships between chronic stressors, alcohol and drug abuse, and health outcomes in middle-aged individuals, including social- psychological factors (perceived achievement limitations compared to salient reference group), social engagement (social support, political engagement, religious involvement, marital/partner status) and access to and utilization of health, mental health and substance abuse services. Our theoretical model embodies factors derived from reference group theory, social engagement versus anomie and lack of access to health, mental health and substance abuse services to treat stressor-derived symptomatology which may be alternatively self-medicated with alcohol and drugs and negatively impact health. Our hypotheses will be tested by conducting a longitudinal four wave mail survey (N=2500 at wave 1). We will utilize a nationwide address- based sample of middle-aged adults (40-60), oversampling by race, educational attainment and rural versus urban/suburban location. Data analytical techniques will include structural equation modelling and longitudinal growth curve analyses. Qualitative interviews with a small sub- sample of respondents (N=40) will explore how and why the main hypothesized factors predict alcohol and drug abuse and diminished health over time differentially for whites compared to non-Hispanic blacks. The findings from this study will contribute to the formulation of evidence- based social policies and treatment interventions with the most promise for halting increased midlife mortality in an understudied group at high risk for alcohol and drug abuse.
抽象的 这项全国性研究探讨了导致经济逆转的最显着的社会心理原因。 自此以来,受教育程度较低的美国非西班牙裔白人中年死亡率下降 1998年,死亡率主要归因于药物和酒精中毒以及自杀。具体目标 1. 凭经验证明个体慢性压力源与 社区层面的压力源、酒精和药物滥用以及一段时间内的健康结果 中年白人与非西班牙裔黑人的比较与教育程度有关 2. 模拟慢性压力源之间关系的显着调节因素和调节因素, 酒精和药物滥用以及中年人的健康结果,包括社会- 心理因素(与显着参考组相比,感知到的成就限制), 社会参与(社会支持、政治参与、宗教参与、婚姻/伴侣 状况)以及获得和利用健康、心理健康和药物滥用服务。我们的 理论模型体现了参考群体理论、社会参与等因素 与失范和缺乏获得健康、心理健康和药物滥用服务的机会相比 治疗压力源引起的症状,也可以用酒精自我治疗 和药物并对健康产生负面影响。我们的假设将通过进行测试来检验 纵向四波邮件调查(第一波 N=2500)。我们将使用全国性的地址- 基于中年成年人(40-60)的样本,按种族、教育程度和 农村与城市/郊区的位置。数据分析技术将包括结构方程 建模和纵向增长曲线分析。对一个小子进行定性访谈 受访者样本(N = 40)将探讨主要假设因素如何以及为何预测 与白人相比,酒精和药物滥用以及随着时间的推移健康状况下降的情况有所不同 非西班牙裔黑人。这项研究的结果将有助于证据的形成—— 基于社会政策和治疗干预措施最有希望阻止增加 酒精和药物滥用高风险人群的中年死亡率。

项目成果

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Timothy Patrick Johnson其他文献

Timothy Patrick Johnson的其他文献

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{{ truncateString('Timothy Patrick Johnson', 18)}}的其他基金

Chronic Stressors and Alcohol and Drug Abuse in Middle-aged Adults: White/BlackDifferences
中年成年人的慢性压力源以及酒精和药物滥用:白人/黑人的差异
  • 批准号:
    10227899
  • 财政年份:
    2020
  • 资助金额:
    $ 65.07万
  • 项目类别:
Chronic Stressors and Alcohol and Drug Abuse in Middle-aged Adults: White/BlackDifferences
中年成年人的慢性压力源以及酒精和药物滥用:白人/黑人的差异
  • 批准号:
    10675498
  • 财政年份:
    2020
  • 资助金额:
    $ 65.07万
  • 项目类别:
Chronic Stressors and Alcohol and Drug Abuse in Middle-aged Adults: White/BlackDifferences
中年成年人的慢性压力源以及酒精和药物滥用:白人/黑人的差异
  • 批准号:
    9883285
  • 财政年份:
    2020
  • 资助金额:
    $ 65.07万
  • 项目类别:
Chronic Stressors and Alcohol and Drug Abuse in Middle-aged Adults: White/BlackDifferences
中年成年人的慢性压力源以及酒精和药物滥用:白人/黑人的差异
  • 批准号:
    10308357
  • 财政年份:
    2020
  • 资助金额:
    $ 65.07万
  • 项目类别:
Planning and Evaluation Core
规划与评估核心
  • 批准号:
    10082856
  • 财政年份:
    2015
  • 资助金额:
    $ 65.07万
  • 项目类别:
Planning and Evaluation Core
规划与评估核心
  • 批准号:
    10267710
  • 财政年份:
    2015
  • 资助金额:
    $ 65.07万
  • 项目类别:
Planning and Evaluation Core
规划与评估核心
  • 批准号:
    10473822
  • 财政年份:
    2015
  • 资助金额:
    $ 65.07万
  • 项目类别:
10th Conference on Health Survey Research Methods
第十届健康调查研究方法会议
  • 批准号:
    8062995
  • 财政年份:
    2011
  • 资助金额:
    $ 65.07万
  • 项目类别:
10th Conference on Health Survey Research Methods
第十届健康调查研究方法会议
  • 批准号:
    7979631
  • 财政年份:
    2010
  • 资助金额:
    $ 65.07万
  • 项目类别:
Race/Ethnic Variability in survey Question Processing and Response
调查问题处理和回答中的种族/民族差异
  • 批准号:
    7650080
  • 财政年份:
    2007
  • 资助金额:
    $ 65.07万
  • 项目类别:

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